18-weeks targets push pressured Trusts into perverse patient scheduling
How the old admitted and non-admitted targets pushed 58 per cent of pressured Trusts into perverse patient scheduling in 2013-14.
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How the old admitted and non-admitted targets pushed 58 per cent of pressured Trusts into perverse patient scheduling in 2013-14.
The rise in Scottish long-waiting outpatients has been partially reversed, but the underlying pressures continue to build.
The English waiting list dodged the 3 million mark again, helped along by a surge in admissions and yet another Trust dropping out of the statistics. As expected, the admitted patient target was breached again, which is a sign of both stress and action. Plus a full detailed analysis of the local waiting times around England.
Perverse incentives on 18 week waits would be reduced if CCGs authorised breaches in advance.
Why nothing will be done to improve England's 18-week waiting time targets.
Interactive maps of local NHS waits around England, showing the pressures and one-year-waits, with links to all the detail by organisation and specialty.
England failed at national level to achieve the "90 per cent of admissions within 18 weeks" target. Good. It shows that hospitals are doing the right thing by treating their longest-waiting patients as soon as they can. Even better, NHS England are cheering them on.
By looking at clock pauses, you can estimate how many patients choose to wait longer. Which is good to know, when you're managing a service that's getting uncomfortably close to the non-admitted or incomplete pathways targets.
Repeated waiting list initiatives are certainly undesirable. Should we go further, and declare them a sign of failure?
The waiting list isn't supposed to grow in January, but it did. It is fast approaching the 3 million mark, and national breaches of 18 weeks later in the year have become a little more likely.